(Closed) Made an appointment regarding TTC for a year…

posted 5 years ago in TTC
Post # 2
Member
1082 posts
Bumble bee
  • Wedding: October 2014

At that point my OBGYN had my husband get his semen analysis done and I had bloodwork done and eventually a HSG. Some doctors are more proactive than others so it’s hard to say what will happen at your appointment, but I’m sure they’ll start with bloodwork to make sure your levels are normal and that you’re ovulating. Hope this doctor is more helpful for you!! 

Post # 3
Hostess
11050 posts
Sugar Beekeeper
  • Wedding: June 2011

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JLFinch: I did the same thing yesterday as I’m in the same boat, we’ve been trying on and off for 3 years. My appointment’s Tuesday. I had a scan and blood tests over a year ago and there were no issues of concern. It will be interesting to see what the next steps are. When is your appt?

Post # 4
Member
1609 posts
Bumble bee
  • Wedding: November 2014

I just hit the year mark last month. I’m over 35 and started the process of actually getting the consults last summer. I’m in Canada and it can take awhile to get into specialists where I live. My OBGYN did CD3 bloodwork and then I was given a consult to a RE based on the results. My RE is doing more tests right now. I had an ultrasound last fall. So basically they will most likely do a history and start doing tests to see where there might be an issue.

Post # 5
Member
15133 posts
Honey Beekeeper
  • Wedding: June 2011

I’m glad you found another doctor.  Step one really is finding someone you are comfortable with and trust.  An OB likely won’t dive too deep into things, if it goes beyond basic testing, they’ll refer you to an RE.  But the OB will likely run CD3 and CD10 bloodwork, along with prolactin and TSH, and a CD21/7dpo progesterone test to confirm ovulation.  They could also order SA for your husband and HSG for you.  And u/s to check for cyst and fibroids.  And then the next steps will depend on the results of those tests.  They’re usually willing to subcribe Clomid as a first step (hopefully after the HSG), but usually don’t monitor.  Pending the results, it’s really in your hands how aggressive you want to be with treatments.

Post # 6
Member
2597 posts
Sugar bee
  • Wedding: October 2010

It’s going to be different depending on your healthcare, but mine started with a blood panel, and depending on what they found, they would then do a physical exam for me to check for things like cysts. Then, they would start with hormonal/drug therapy and if that didn’t work, consider IVF (which that wasn’t clear if my healthcare would pay for anyway). With my healthcare, each step was precipitated on the results of the last–meaning, if the blood panel came back with certain measurements in certain areas (I can’t remember what these were) then they would not pay for me to get the pelvic exam because those results from the blood screening would indicate conception was unlikely anyway, and again, certain results from the pelvic exam would rule out future therapies, depending on what they were. My DH also went in to get his sperm count tested around the time I had the blood drawn. It turned out that for me, I only ended up doing the blood test and then I unexpectedly got pregnant (!) so I didn’t have to do the other steps (and my blood panel and DH’s sperm count both came back normal), so I can’t tell you what those other steps are like, but the blood draw is simple, and according to my DH, so is the sperm stuff. 

The book “Taking Charge of Your Fertility” is a good one to check out as well, just because it can help you cultivate fertility awareness, which (I’ve heard) you will need if you end up using drug therapies. 

Post # 8
Member
984 posts
Busy bee
  • Wedding: April 2014

I went in at 6 months instead of 1 year as I am over 35.

I had some blood work.  Then they did a HSG Hysterosalpingogram and a vaginal ultra sound.  My SO has a semen analysis.  They observed a couple cycles by timed V Ultra Sounds.  Then blood work to check progesterone.  Then after two months of TTC additional they started me on clomid.  Now I am month 5 into a 6 months of using clomid. 

The next step for us will either be commit to an RE for either IVF or injectables, or decide to keep trying without any additional assistance for a bit longer.  The RE will cost out of pocket $10,000. – $25,000 so that is a hard choice to make.  Insurance for us does not cover any of it.

That is our story.  I have my FX that we have a BFP in the next two months. 

I hope your journey is a short one and FX that you get a BFP in the near future.

Post # 9
Member
1799 posts
Buzzing bee
  • Wedding: October 2015

I have no experience but I want to send you ositive vibes.  TTC is an awful journey when it doesn’t go to plan! My heart goes out to you and I hope your new OBGYN gets you better results and makes you feel heard.

Post # 11
Member
4739 posts
Honey bee
  • Wedding: September 2012

My OBGyn ran a bunch of blood tests and did a few ultrasounds (including the type with saline). They figured out that I wasn’t ovulating, so they did a few cycles with Clomid before referring me to a specialist (RE). 

Post # 12
Member
1197 posts
Bumble bee
  • Wedding: August 2014

Not to scare you (and hopefully your doc will be different), but my OBGYN refused to do any fertility testing besides prolactin. She basically said we’ll have to talk to an RE for further bloodwork and scans. We’ve been TTC for 8 months with two CPs, so I made an RE appt ASAP. 

Post # 13
Member
831 posts
Busy bee
  • Wedding: December 2013

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JLFinch:  I went to an RE after a year, as my regular OBGYN didn’t think there were any issues because I had two pregnancies  (BOTH ended in miscarriage). So I’m not sure what an OBGYN will do, but I will tell you that I felt so much better being proactive. It helped ease my mind. I was actually set to start my first IUI cycle next week, and got another BFP two days ago!

Post # 14
Member
1386 posts
Bumble bee
  • Wedding: June 2014

My previous obgyn – I didn’t like. I went in for my physical in Feb. with a new obgyn. She ended up running a scan and took blood (to check for PCOS which came back negative). At that point we’d only been TTC for three months. Listened really well and very proactive. I’m 30, but have suffered from irregular periods my whole life. If I don’t get pregnant this month I will start clomid my next cycle. They’ll do the saline test in three months if clomid doesn’t work and take a seman sample from DH. It eased a lot of stress/tension. I’ve been off BCP for two years. 

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